Mrs Gail Arlene Shade, LPC | |
640 Fairfax St, Suite #3, Berkeley Springs, WV 25411-1622 | |
(304) 258-5353 | |
(304) 258-9313 |
Full Name | Mrs Gail Arlene Shade |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 640 Fairfax St, Berkeley Springs, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912084385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1001 (West Virginia) | Primary |
Entity Name | Gail A. Shade, Ma, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609932623 PECOS PAC ID: 1759825144 Enrollment ID: O20240626002729 |
Mailing Address | Practice Location Address |
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Mrs Gail Arlene Shade, LPC Po Box 903, Berkeley Springs, WV 25411-0903 Ph: (304) 258-5353 | Mrs Gail Arlene Shade, LPC 640 Fairfax St, Suite #3, Berkeley Springs, WV 25411-1622 Ph: (304) 258-5353 |
Ms. Heather Klockman, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Valley Rd Ste A, Berkeley Springs, WV 25411 Phone: 304-500-2567 Fax: 304-500-2748 | |
Honey Melanie Jeanne Bonjour, MS, CFLE Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 War Memorial Trl Ste B, Berkeley Springs, WV 25411 Phone: 304-258-3146 | |
Margaret W Griffiths, LPC Counselor Medicare: Medicare Enrolled Practice Location: 181 Iris Mountain Ln, Berkeley Springs, WV 25411 Phone: 304-258-9415 | |
Kristen Jeanette Mumaw, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 War Memorial Trl Ste B, Berkeley Springs, WV 25411 Phone: 304-258-3146 | |
Ms. Sandra Kaye, LPC MS Counselor Medicare: Medicare Enrolled Practice Location: 181 Sylvia Lane, Berkeley Springs, WV 25411 Phone: 304-258-4239 | |
Mrs. Gail M. Bottomley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 45 Chelsea Ln Apt 7, Berkeley Springs, WV 25411 Phone: 304-258-9894 | |
Lacee Nicole Kidwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 A South Washington St., Berkeley Springs, WV 25411 Phone: 304-582-1993 |